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Effectiveness of Internet-Based Cognitive Behavioral Therapy on Quality of Life Among Breast Cancer Survivors: Literature Review Jayadi Idu, Cicirosnita; Nurcahyani, Rizka; Fadilah, Rizki; Sukma, Putri; Nur Fadhilah, Satrio; Asmieza Al Haq, Rifa
Jurnal Riset Media Keperawatan Vol. 8 No. 2 (2025): DESEMBER
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

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Abstract

Breast cancer is the most malignancy among women worldwide and is associated with long-term psychosocial burdens such as anxiety, depression, insomnia, and impaired quality of life. Given the rising number of survivors, effective and accessible psychological interventions are essential. Internet Cognitive Behavioral Therapy (ICBT) emerged as a promising digital solution. Objective to evaluate the effectiveness of ICBT in improving quality of life among breast cancer survivors. A systematic literature review was conducted using PubMed, ScienceDirect, and ResearchGate, focusing on studies published between 2020–2025. Article selection followed the PICOS framework, including randomized controlled trials (RCTs), quasi-experiments, pilot RCTs, and feasibility studies. Methodological quality was assessed using Joanna Briggs Institute (JBI) critical appraisal tools. The Results: From 249 identified studies, 10 met inclusion criteria. Evidence demonstrated that ICBT greatly diminished signs of depression, anxiety, insomnia, and distress, while improving cognitive function, coping ability, and overall quality of life for people who have recovered from breast cancer. The interventions were found to be flexible, accessible, and well-accepted. However, variations in effectiveness were observed depending on cancer stage, ongoing treatments, and psychosocial conditions. Conclusion: ICBT is an effective and innovative psychosocial intervention that enhances quality of life in breast cancer survivors. Its integration into healthcare systems is highly recommended, with tailored content to meet individual patient needs.
ANALISIS PERMASALAHAN DAN SOLUSI DALAM PEMBELAJARAN BILANGAN BULAT DI SD NEGERI 060872 Fadilah, Rizki; Elvi Mailani; Utari, Septi; Nasution, Hajjaziah
Jurnal Keluarga Sehat Sejahtera Vol 23 No 1 (2025): JURNAL KELUARGA SEHAT SEJAHTERA
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jkss.v23i1.66036

Abstract

Learning integers in elementary schools is often a challenge, characterized by students' difficulties in understanding the concept and operating positive and negative numbers. Observational research at SDN 060872 Medan identified crucial problems in this process. This study aims to offer practical and innovative solutions to overcome these obstacles. We propose the implementation of various strategies, including the use of concrete teaching aids, contextual approaches, interactive learning media, and differentiation of teaching methods that are responsive to students' learning styles. The series of solutions offered include visualizing concepts through teaching aids, connecting materials with students' daily experiences, using interactive technology to increase engagement, and adjusting teaching methods to accommodate individual differences. The implementation of these solutions is expected to improve students' conceptual understanding of integers, their ability to solve problems, and create a more inclusive and effective learning environment. This study provides valuable insights for educators and policy makers in improving the quality of mathematics learning at the elementary level.